Stormwater- Affiliates

Facility Name: SAVAGE LIFT STATION AND 6 INCH FORCE MAIN - CONSTRUCTION

Permit Type: GP #2 Legal Status: Public     File No: 42954   Authorization No: 42954-42573

Expiration Date: 6/1/2026(current) Address: WEST ROW OF HWY 169 FROM BUS HWY 20 (KENYON RD) TO APPROX 1 MILE SOUTH OF THE HWY 169 - BUS HWY 20 I

County: WEBSTER Field Office: 2 SIC: Geospatial Information: 400834(X)/4702848(Y) (Electronic app)

Affiliates   Name Address City State Zip Phone Type ELDON ROSSOW 109 REGENCY WEST COURT FORT DODGE IA 50501 (515)570-4382 Contact Eldon Rossow     IA     Certifier SAVAGE SANITARY BOARD OF DIRECTORS 22634 OLD HWY 169 FORT DODGE IA 50501 (515)571-1905 Owner Individual? Type:* --AFFILIATE TYPE-- OWNER OPERATOR CONTACT CERTIFIER Name: Title:   Company Name: C/O:   Address: Address 2: City/State/Zip   --Select-- AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA DC WV WI WY PR OT E-mail:   Contact Owner   NO YES Preferred Method of contact EMAIL US MAIL Business Phone:   Error! Phone Number Format Must Be (XXX)XXX-XXXX Ext: Home Phone:   Error! Phone Number Format Must Be (XXX)XXX-XXXX Fax:   Error! Phone Number Format Must Be (XXX)XXX-XXXX Mobile Phone:   Error! Phone Number Format Must Be (XXX)XXX-XXXX